Smith, Saletha Brenetha

Smith, Saletha Brenetha is an sole proprietor health care provider with primary practice located at 1300 W Lancaster Ave Ste 205 , Fort Worth TX 76102-3490. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics is her primary health care specialty. Smith, Saletha Brenetha can be contacted via phone (817) 336-8611.

Contact Information

Primary practice address
1300 W Lancaster Ave Ste 205 Fort Worth TX 76102-3490
Phone: (817) 336-8611
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X S8122 Texas

Profile Details

NPI number 1760710636
LBN Legal business name Smith, Saletha Brenetha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 3rd, 2009
Last updated Oct 26th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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